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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
2127-0682
ICR Reference No:
202204-2127-001
Status:
Historical Active
Previous ICR Reference No:
201804-2127-006
Agency/Subagency:
DOT/NHTSA
Agency Tracking No:
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection:
Reinstatement without change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/11/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/05/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2025
36 Months From Approved
Responses
113,582
0
0
Time Burden (Hours)
20,204
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
NHTSA seeks the Office of Management and Budget’s (OMB) approval to reinstate a previously approved information collection (OMB Control Number: 2127-0682) for generic clearance for qualitative feedback on agency service delivery. This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders is achieved through voluntary surveys and will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. Our customers and stakeholders range from individuals and households, businesses, organizations, and State and local governments. This information collection request is for a reinstatement and increases the total burden by 20,204 hours and $0. The burden hours and costs did not change from the last request for this collection
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
87 FR 2235
01/13/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 26391
05/04/2022
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
39
IC Title
Form No.
Form Name
2023 Distracted Driving Enforcement Concept Testing Research Online Focus Groups
NHTSA Form 1693, NHTSA Form 1692, NHTSA Form 1691
Discussion Guide
,
Spanish Screener
,
Recruitment Screener
2026 Distracted Driving Concepts Testing Online Focus Groups
NHTSA Form 2051, NHTSA Form 2053, NHTSA Form 2052, NHTSA Form 2051
2026 Distracted Driving Concepts Testing Screener (English)
,
2026 Distracted Driving Concepts Testing Screener (Spanish)
,
2026 Distracted Driving Concepts Testing Discussion Gudie (English)
,
2026 Distracted Driving Concepts Testing Discussion Guide (Spanish)
Air Bag Recall Creative Concepts Testing Online Focus Groups
NHTSA Form 1820, NHTSA Form 1818, NHTSA Form 1819, NHTSA Form 1820, NHTSA Form 1821
Air Bag Recall Creative Concepts Testing - General Market Screener
,
Air Bag Recall Creative Concepts Testing - General Market Discussion Guide
,
Air Bag Recall Creative Concepts Testing - Spanish Screener
,
Air Bag Recall Creative Concepts Testing - Translated (Spanish)
,
Air Bag Recall Creative Concepts Testing Spanish Screener (Translation)
Buzzed Driving Concepts Testing Research - Online Focus Groups
NHTSA Form 1709, NHTSA Form 1708
Buzzed Driving Creative Concepts Testing Screener
,
Buzzed Driving Creative Concepts Testing Discussion Guide
Buzzed Driving Prevention Concepts Testing Research - Online Focus Groups
NHTSA Form 1728, NHTSA Form 1729
Buzzed Driving Prevention Creative Testing Screener
,
Buzzed Driving Prevention Creative Testing Moderators Guide
CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS
NHTSA Form 1694, NHTSA Form 1695
NHTSA CIOT Concept Testing Research - Screener
,
NHTSA CIOT Concept Testing Research - Discussion Guide
CLICK IT OR TICKET CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS
NHTSA Form 2029, NHTSA Form 2031, NHTSA Form 2030, NHTSA Form 2050
CIOT Concept Testing General Market Screener
,
CIOT Concept Testing Spanish Language Screener
,
CIOT Concept Testing General Market Discussion Guide
,
CIOT Concept Testing Spanish Language Discussion Guide
CLICK IT OR TICKET RURAL CREATIVE CONCEPT TESTING RESEARCH ONLINE FOCUS GROUPS
NHTSA FORM 1754, NHTSA FORM 1755
Rural CIOT Concept Testing Research Screener
,
Rural CIOT Concept Testing Discussion Guide
Collection of Qualitative Feedback on Agency Service Delivery on Car Seats
NHTSA Form 1723
Online Survey Questionnaire Child Passenger Safety Public Service Advertising Campaign
Collection of Qualitative Feedback on Agency Service Delivery on Tween Seat Belt Safety
NHTSA Form 1722
Online Survey Questionnaire Tween Public Service Advertising Campaign
Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke
NHTSA Form 1724, NHTSA Form 1727, NHTSA Form 1725, NHTSA Form 1726
Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (English)
,
Collection of Qualitative Feedback on Pediatric Vehicular Heatstroke Moderators Guide (Spanish)
,
Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups General Market Audience
,
Collection of Qualitative Feedback on Pediatric Heatstroke Recruitment Screener for Focus Groups Spanish Language Audience
DISTRACTED DRIVING ENFORCEMENT EXPLORATORY RESEARCH ONLINE FOCUS GROUPS
NHTSA Form 1676, NHTSA Form 1677, NHTSA Form 1678, NHTSA Form 1679
English Screener Distracted Driver
,
English Discussion Guide Distracted Driver
,
Spanish Screener Distracted Driver
,
Spanish Discussion Guide Driver
DISTRACTED DRIVING SOCIAL NORMING CONCEPT TESTING RESEARCH
NHTSA Form 1705, NHTSA Form 1706
Recruiting Screener
,
Discussion Guide
Distracted Driving Logo and Tagline Research Online Focus Groups
NHTSA Form 1736, NHTSA Form 1737, NHTSA Form 1735, NHTSA Form 1738
Distracted Driving Logo and Tagline Research English Screener
,
Distracted Driving Logo and Tagline Research English Discussion Guide
,
Distracted Driving Logo and Tagline Reseach Spanish Screener
,
Distracted Driving Logo and Tagline Research Spanish Discussion Guide
Distracted Driving PSA Campaign Tracking Study
NHTSA Form 1717
Distracted Driving PSA Campaign Tracking Study
Drive Sober Campaign Creative Concept Testing
NHTSA Form 1713, NHTSA Form 1712, NHTSA Form 1714, NHTSA Form 1714, NHTSA Form 1715, NHTSA Form 1715
Drive Sober Creative Concept Testing English Screener
,
Drive Sober Campaign Creative Testing Discussion Guide
,
Drive Sober Campaign Creative Testing Spanish Screener
,
Drive Sober Campaign Creative Testing Spanish Screener (Translated to English)
,
Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide
,
Drive Sober Campaign Creative Concept Testing Spanish Discussion Guide (Translated to English)
Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups
NHTSA Form 2023, NHTSA Form 2022
Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Screener
,
Drug-Impaired Driving PSA Campaign Exploratory Research Focus Groups Moderators Guide
Fast Track Generic Clearance for the Collection of Online Qualitative Feedback on Creative Message Testing: Child Car Safety PSA Campaign
NHTSA Form 1798, NHTSA Form 1797
Moderator's Guide Child Car Safety PSA Focus Groups
,
Recruitment Screener for Child Car Safety PSA Campaign
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Prevent Pediatric Vehicular Heatstroke
NHTSA Form 1591, NHTSA Form 1590
Recruitment Screener for One-on-one Interviews
,
Moderators Guide - One-on One Interviews
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Awareness Campaign to Reduce Alcohol-Impaired Driving
NHTSA Form 1669, NHTSA Form 1668, NHTSA Form 1335, NHTSA Form 1336
Buzzed Exploratory 2022 Discussion Guide Latino
,
Buzzed Exploratory 2022 Screener Latino
,
Buzzed Exploratory 2022 Screener General Market
,
Buzzed Exploratory 2022 Discussion Guide General Market
Focus Groups to Test Creative Concepts for Buzzed Driving PSA Campaign
NHTSA Form 2016, NHTSA Form 2017, NHTSA Form 2017, NHTSA Form 2016
NHTSA Buzzed Hispanic Comm Checks Screener (ENG)
,
NHTSA Hispanic Comm Checks Screener (SPA)
,
NHTSA Hispanic Comm Checks Moderators Guide ENG
,
NHTSA Buzzed Hispanic Comm Checks Moderators Guide (SPA)
Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study
NHTSA Form 2057
Impaired Winter Holiday High-Visibility Enforcement Campaign Tracking Study Questionnaire
Marijuana Impairment Concept Testing Research
NHTSA Form 1670, NHTSA Form 1671, NHTSA Form 1672, NHTSA Form 1673
Marijuana Impairment Concept Testing Research - English Screener
,
Marijuana Impairment Concept Testing Research - Spanish Screener
,
Marijuana Impairment Concept Testing Research - Discussion Guide
,
Marijuana Impairment Concept Testing Research - Discussion Guide Spanish
Motorcycle Impaired Riding Campaign Concepts Testing - Focus Groups
NHTSA Form 1756, NHTSA Form 1757
Motorcycle Impaired Riding Concepts Testing Screener
,
Motorcycle Impaired Riding Campaign Concepts Testing Discussion Guide
NHTSA ADAS CONSUMER EDUCATION CONCEPT TESTING ONLINE FOCUS GROUPS
NHTSA Form 2032, NHTSA Form 2033, NHTSA Form 2034, NHTSA Form 2041
ADAS Concept Testing General Market Screener
,
ADAS Concept Testing Spanish Screener
,
ADAS Concept Testing General Market Discussion Guide
,
ADAS Concept Testing Spanish Discussion Guide
NHTSA Buzzed Tagline Phase 1 Research - Focus Groups
NHTSA Form 1800, NHTSA Form 1801
NHTSA Buzzed Tagline Research Phase 1 Research Screener
,
NHTSA Buzzed Tagline Research Phase 1 Discussion Guide
NHTSA Drug-Impaired Driving Prevention Creative Concepts Testing - Online Focus Groups
NHTSA Form 2055, NHTSA Form 2056
Drug-Impaired Driving Prevention Concepts Testing Screener
,
Drug-Impaired Driving Prevention Concepts Testing Moderators Guide
NHTSA Regional Operations External Webinar Evaluation
1702
NHTSA Regional Operations External Webinar Evaluation
NHTSA Vehicle Safety Recalls Exploratory - Online Focus Groups
NHTSA Form 1765 , NHTSA Form 1766, NHTSA Form 1766, NHTSA Form 1767, NHTSA Form 1767
NHTSA Vehicle Recalls General Market Screener
,
NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener
,
NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Spanish Screener (ENG Version)
,
NHTSA Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide
,
Vehicle Recalls Exploratory Research Online Focus Groups Discussion Guide (in Spanish)
Occupant Protection Virtual Meeting
NHTSA Form 1702
Occupant Protection Virtual Training
Parents and Teens Driving Safety Concept Testing Research
NHTSA Form 2013, NHTSA Form 2011, NHTSA Form 2015, NHTSA Form 2012, NHTSA Form 2014
Parents and Teens Driving Safety Concept Testing Research - General Market Screener
,
Parents and Teens Driving Safety Concept Testing Research - Spanish and Bilingual Market Screener (English)
,
Parents and Teens Driving Concept Testing Research - Spanish and Bilingual Market Screener (Spanish)
,
Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (English)
,
Parents and Teens Driving Safety Concept Testing Research - Discussion Guide (Spanish)
Parents and Teens Driving Safety Mindset Research
NHTSA Form 1759, NHTSA Form 1758, NHTSA Form 1760
Parents and Teens Driving Safety Mindset Research - General Market Screener
,
Parents and Teens Driving Safety Mindset Research - Spanish and Bilingual Market Screener
,
Parents and Teens Driving Safety Mindset Research - Discussion Guide
Pediatric Heatstroke Prevention Tracking Survey
1761
NHTSA Form 1761
Qualitative Feedback on Child Car Safety
NHTSA Form 1590, NHTSA Form 1590, NHTSA Form 1591, NHTSA Form 1591
Child Car Safety Moderator’s Discussion Guide English
,
Child Car Safety Moderator’s Discussion Guide (Spanish)
,
Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews Spanish
,
Child Car Safety Recruitment Screener for Online Focus Groups and In-Depth Interviews
Qualitative Feedback on Pediatric Vehicular Heatstroke
NHTSA Form 1750, NHTSA Form 1751, NHTSA Form 1752
Child Heatstroke Car Safety – Online Questionnaire
,
Child Heatstroke Car Safety Screening Questionnaire
,
Child Heatstroke Car Safety – Video Questionnaire
Routine Customer Feedback - Drug-Impaired Driving Prevention
NHTSA Form 1700
Online Survey Questionnaire Drug-Impaired Driving Prevention
Routine Customer Feedback for Buzzed Driving PSA Campaign
NHTSA Form 1698
Routine Custo9mer Response Survey (Buzzed Driving)
Rural Alcohol-Impaired Exploratory Research - Focus Groups
NHTSA Form 2037, NHTSA Form 2038, NHTSA Form 2039, NHTSA Form 2039, NHTSA Form 2040
Rural Impaired Exploratory Research English Screener
,
Rural Impaired Exploratory Research Spanish Screener
,
Rural Impaired Exploratory Research Spanish Screener (translated)
,
Rural Impaired Exploratory Discussion Guide (English)
,
Rural Impaired Exploratory Research Discussion Guide (Spanish)
SPEED PREVENTION CREATIVE CONCEPTS RESEARCH ONLINE FOCUS GROUPS
NHTSA Form 2025, NHTSA Form 2024
Speed Prevention Concept Assessment Screener
,
Speed Prevention Concept Assessment Discussion Guide
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
113,582
0
0
0
0
113,582
Annual Time Burden (Hours)
20,204
0
0
0
0
20,204
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$525,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Walter Culbreath 202-366-1566 wculbreath@nhtsa.dot.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/05/2022
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